Barrie Bloom, RN Valid NPI

Individual provider · Registered Nurse · Gallup, NM

NPI

1528385986

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

168153 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2010-04-26

Last updated

2010-04-26